MIDLINE DORSAL APPENDAGES

A case of a mature posterior cervical teratoma resembling two fingers and a case of a lumbosacral limb are presented. These are at least the seventh and eighth reported paraspinous or occipital teratomas with r ecognizable extremity development. Both anomalies had intradural exten sion and required exploration to decrease the likelihood of future spi nal cord tethering, Preoperative evaluation, surgical technique, posto perative follow-up, and review of the literature are presented.